HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Ail-APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED
iDate:. Permit Number:
LPL ,
ii
a
Building Permit Application
Planning and Development Services
Suilding.and Code Regulation Division COt1lITleCGial
Residential
2300'Virginia.Avenue .Fort Pierce:FL 34982
Phone: (772)462.-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR Fence Installation
RQPQ' � � PFtdVEMENT LOC> ION h 4 x x f "
Address: 2. i .. 4 t 0G . d. .41
e L
Property Tax ID#, Zle 7LOOZ ow-~.
Lot No. T<
Site Plan Name: Block.N:o. 'd s
'Pro.iect Name: ' G 1`,f
New Electrical Meter _ Second:Electrical Meter
NZ
QNSTRUCTIQN 1N>=QRMAT(QN
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Additional work to be performed under this;perm.it—check all;that apply-
-Mechanical _Gas Tank ^`68 Piping _Shutters `Windows/Doors: Pond
Electric _Plumbing Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 5q, Ft. of First Floor:
Cost of Construct
ion-$ l=- Utilities:' Sewer Septic Building Height:
lVa me,
Name:Todd M Paroline
Address: Company:Superior Fence and Rail.of Brevard-County lne:
City: i State:.. Address:2778 N Harbor City Blvd#102
i Zip Coder Fax; City: State:FL
Melbourne.
Phone No. Zip Code: 32935 Fax: 321-638-0086
g-;Mail; Phone No 321' 836-2829
Fill in fee simple Title Holder onmext page{if different t=Mail spacecoast@superiodenceandrail:com
from the Owner-listed above) State or County License 31337 j
i
If vatue of construction is 2500 or more,a RECORDED Notice of Commencement is required:.
If.,value 50LL
alue of.MAVC is$7, 0 or more,a.RECORDED Notice of Commencement is required. '
F'PI;EM�NT L'CC?N TRUCTIO ! L1 �lAUU (tMEIG 11�IATl1—ti ' 4 � ;
°§i,;t,_- f ` rir �
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY:; _Not A iicabl
pp
Name: -Name: .
Address Address
City: . State: Elty: .`Stafe.
1 ;
Zip: Phone Zip: Rhone.:
`FEE SIMPLE,TITLE HOLDER; �Not Applicable BONDING,W PANY; _NotAppficable` .
�.Narne Name 7.
Address: Address
City. City.
`Zip Phone: Zip: Phonei
01Nf ER/CONTRACTOR AFFIDVIT:Application is hereby blade.to obtain a permit to do"the work and,installation as in*d icated
I certify thatno work or installation has commenced"pros•to the issuance of a.permit,
St Lucie Countyy"makes no-representation that isgranting a permit will authorize;the permit,holder to build the subject structure
which,is in conflict'with:any applicable-Home.Owners Association rules,bylaws or and covenants:that may restrict ar prohibit such
structure.Please'consult with your•Horrie Owners°Association and"review your deed for any restrictions which may apply.,
In consideration;ofthe granting of this requested permit,I do hereby:agree thatI will,in all.respects,perform the work
in,3ccordance withathe approved plans;.the Florida Building Codes and St.Lucie County:Amendments.
The following..building permit applications are exempt.from undergping a full concurrency.rev'ietiu:room additions;.
accessory structures;swimming pools,fences,walls,signs,screen rooms and_accessory t ses:to.another non-fesidentiM use
1NARN(NG;TQ OWNER:Your'failuce,to Record a Notice of"Commencerineat may result in,paying twice for
iMp'rovenients to your property,. A.Notice of Commencement mtas,be recorded in the-public,records,o St
Lucie County and: , ste I on the jobMte before the first inspection-If If you intend t obtain financing, cc�rtsurlt
with le or for ey,before comrnenCing work or rEcordfri r Notice omrnericeMont
I Signature of Owner/Lessee/Contractor as Agent for owner Signa ure of.Contractor/License Holder ,
.['+STATEOFfLORIDA STATE OF FLORIIA
COUNTY OF . . ; ,; COUNTY'OF
Sw rn to(or affirmed)and subscribed before me of Sworn.to(or affirmed)and-subscribed before me of
,Ph bcal Presence or Online NotarisationPh sical Presence or Online Notarization
this- of by Q this day fK C
z
Todd M Paroiine
Todd M:Paroline'.
Name of person making statement. Name of person making-statement.
Persdnally Known, OR Produced identification - Personally Known_OR Produced identification
Type of Identification Type of Identification.
Pro ed .• _ Pro used
'4DJA A10.
(Suture of ota Publi (Signature of Not ry Public St e ids) itch Y g y tw{tg5
Notary Pub6i, State of Iant.
Commission No, �`: Na$g4Iie Stan of ,arida Commission No. r �s riiissY4ia
t C& c4+ x Iras sort-i 25
ammissian "HN 9a14G+? Sanded#hrairgh"aatiQnal NataoA r Canm,'•ExPires jun t t.2025
-- air4ft'itt a"iaoa ,Diary As,r.. -- "
REVIEWS FRONT �QNING SU R I Q PLANS. VEGETATION. SEATURTIE MANGROVE ;
COUNTER- REVIEW REVIEW REVIEW REVIEW' REVIEW REVIEW;
I BATE:
RECEIVED. 1' {
DATE; t
COMPLETED